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Kvinnors upplevelse av episiotomi: En kvalitativ fenomenologisk intervjustudie
University of Skövde, School of Health Sciences.
University of Skövde, School of Health Sciences.
2021 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesisAlternative title
Women’s experiences of episiotomy : A qualitative phenomenological interview study (English)
Abstract [sv]

Bakgrund: Episiotomi är ett klipp som läggs i vagina och perineum under förlossningen, som utförs exempelvis för att skynda på förlossningen. Ingreppet utfördes tidigare rutinmässigt men har på senare år kritiserats, eftersom ingreppet orsakar många gånger onödiga problem för kvinnorna. Syfte: Syftet med studien var att undersöka kvinnors upplevelser av episiotomi eftersom det visat sig finnas sparsamt med forskning kring detta, särskilt i Sverige. Metod: En kvalitativ intervjustudie med semistrukturerade intervjuer har genomförts med fenomenologisk metod och induktiv ansats. Informanter eftersöktes genom bekvämlighetsurval, via en grupp på sociala medier. Resultat: Resultatet som framkommit visar att kvinnorna har upplevt episiotomin samt omständigheterna runt omkring som mycket negativa. Kvinnorna understryker framförallt hur de upplevde att bristande kommunikation och information från personalen ledde till en känsla av att vara i en utsatt position samt att de inte upplevde sig vara delaktiga i beslutet rörande episiotomin. Konklusion: Kvinnorna upplevde många negativa känslor kring ingreppet och hade ingen delaktighet när beslut om episiotomi togs. Det faktum att kvinnorna inte fick någon chans att lämna sitt samtycke till ingreppet har gjort att de i efterhand har haft svårt att bearbeta händelsen.

Abstract [en]

Background: Episiotomy is a cut through the vagina and perineum during childbirth, which is performed, for example, to speed up labor. The procedure was previously performed routinely but has in recent years been criticized, because the procedure often causes unnecessary problems for the women. Aim: The aim of the study was to investigate women's experiences of episiotomy since there is little research on this, especially in Sweden. Method: A qualitative interview study with semi-structured interviews was conducted with a phenomenological method and an inductive approach. Informants were sought through convenience selection, via a group on social media. Results: The results show that the women have experienced the episiotomy and the surrounding circumstances as very negative. The women emphasize that a lack of information from the staff led to a feeling of being in a vulnerable position and not being involved in the decision regarding the episiotomy. Conclusion: The women experienced many negative feelings about the procedure and had no participation when the decision on episiotomy was made. Since the women did not get a chance to give their consent to the procedure it has been difficult for them to process the incident afterwards.

Place, publisher, year, edition, pages
2021. , p. 39
Keywords [en]
Episiotomy, participation, information, vulnerability, consent, midwife
Keywords [sv]
Episiotomi, delaktighet, information, utsatthet, samtycke, barnmorska
National Category
Obstetrics, Gynecology and Reproductive Medicine Nursing
Identifiers
URN: urn:nbn:se:his:diva-20599OAI: oai:DiVA.org:his-20599DiVA, id: diva2:1597667
Subject / course
Reproductive, Perinatal and Sexual Health
Educational program
Midwifery - Study Programme
Supervisors
Examiners
Available from: 2021-09-27 Created: 2021-09-27 Last updated: 2021-09-27Bibliographically approved

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